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Organization

GWINNETT INTERVENTIONAL PAIN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY CHESIN (ADMINISTRATOR)
(770) 979-9996
Entity
Organization

Contact information

Practice address
1090 RIVER LAUREL DR, SUWANEE, GA 30024-6932
(770) 979-9996
(770) 979-1202
Mailing address
1090 RIVER LAUREL DR, SUWANEE, GA 30024-6932
(770) 979-9996
(770) 979-1202

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
06/09/2010
Last updated
06/09/2010
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